Beach Homes IV

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Caregiver Adonimar Venturina. Licensee Andrew Beach arrived shortly after. For today’s visit, LPA observed a total of six residents in care and two staff members on duty. LPA observed the Administrator's Certificate for facility Administrator (AD) Darlene Beason which expires on March 19, 2026. LPA toured the interior and exterior portions of the facility with Licensee Beach. The facility is a one story structure and is licensed for six non-ambulatory residents, of which four may be on hospice and zero bedridden. There are a total of seven bedrooms, of which six are resident bedrooms and one staff bedroom. LPA toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of five and a half restrooms. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 106.5 and 107.2 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher was charged and located by the kitchen. Fire extinguisher was service on October 3, 2025. During today's visit LPA observed as staff were assisting the residents with their breakfast. CONTINUED ON LIC809-C... LPA observed the emergency disaster and evacuation plan which is located by dining room. Facility had back-up emergency food and water supply. LPA observed that the First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. Medications are locked in a kitchen cabinet. For the exterior portion, LPA observed a shaded area, patio furniture, and the grounds were free of any hazards. There are two gates in the backyard, which both are self-closing and self-latching. No bodies of water were observed. LPA reviewed six resident files and three staff files. LPA interviewed residents and staff present. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. LPA advised AD to use the general email address: CCLASCPOrangeCountyRO@dss.ca.gov for any inquiries and to specify attention to the assigned LPA. An exit interview was conducted with facility representative.. A copy of this report was provided at the time of exit.the state’s words, verbatim · CDSS document, Dec 23, 2025

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPA was greeted and granted entry by facility caregiving staff after introducing himself and stating the purpose of the visit. Administrators Andrew Beach, Patricia Beach and Nancy Ayala were notified of the visit via telephone and arrived later to assist. LPA accompanied by facility staff conducted a tour of the physical plant and observed the following: the facility is a one-story home with an attached garage. The facility has a total of six single bedrooms in addition to a staff room. There are five en-suite bathrooms and one en-suite bathroom in the facility. All bathrooms are observed to be equipped with grab bars and slip mats. All resident bedrooms have the required furnishings. Bathrooms faucets and toilets are operational. Water temperature was measured at 114F in the shared bathroom used for personal hygiene. LPA observed all beds have linen and blankets. There are currently six residents admitted to the facility, none of which is receiving hospice care. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. Drills have been conducted quarterly in 2024 with documentation to be provided by licensee via email. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke and carbon monoxide detectors tested operational. Fire extinguishers present are fully charged and have been maintained in 2024. There is adequately shaded outside space with outdoor furniture present. There are self-latching gates on each side of the property. The routes of egress on both sides are free of obstructions. There are no bodies of water on the premises. Cleaning products are observed to placed in a cabinet under the kitchen sink, lock appears to be missing. The medication central storage is in a cabinet in the kitchen also, however the lock on the right door is not functional as observed during the visit. Type B citation issued. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 Medication central storage reviewed for accuracy. No discrepancies observed with the physician orders on file. LPA reviewed six resident files along with three staff files. Two physician reports for residents diagnosed with dementia have been established in October 2023 and will need to be updated. Technical Violation Advisory Note issued. Resident records otherwise include all necessary components. All staff members present are confirmed to have received background clearance. Training verified to be up to date. CPR training documentation on file. Health screenings are on file for staff members reviewed. Based on the observations made during today’s inspection, one type B deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. One Technical Violation and one Technical Assistance Advisory Notes issued regarding physician report updates An exit interview was conducted and a copy of this report along with appeal rights was provided to a facility representative.the state’s words, verbatim · CDSS document, Dec 12, 2024

The state marks this report as 5 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.